Targeted Therapy Flashcards
(7 cards)
Target validation process
causal relation b/w target and disease has to do with: 1. specificity 2. affinity 3. mode of action (short term vs long term) 4. regulation of effects
dose-effect relationship
quantitative
at individual level
dose-response relationship
quantitative
at group level (how many pts responded in a group?)
most drugs use this
Biomarkers for selection in cancer therapy= EGFR
Erlotinib (lung cancer)
Cetuximab (colon cancer)
MammaPrint
validated for breast cancer pts
predict risk of distant metastasis
aggressive tx can be considered in pts with poor prognosis
DPD (dihydroprimidine dehydrogenase)
enzyme that breaks down 5-FU
aberrant methylation of DPYD promoter causes DPD deficiency
Thymidylate synthase (TS)
target for 5-FU
overexpression is linked to drug resistance